NOTICE OF RESTRICTION OF USE <br />and Notice of Right to Appeal <br />C <br />TINIE: CASE 4: <br />LOCATION (PARK/0PIn SPACE): L A t4i <br />Under the authorityof Administrative Order No. 58-03-24-F and Park and Open Space Rule 1 -1.005(3),you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on you violated Section !c i,,, of the Nirk <br />and Open Space Rules, and/or Secilor - ----- - 11 ------ - of the Eugene Code, 1971, and/or ORS TO wit, yow_ <br />(Description ofthe violation.) <br />This restriction of use is effective beginning on 1 and shall remain in effect until <br />If"you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be <br />CUTested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R-1,074 you are entitled to an infIbrinal hearing to contes€ , this Notice, A request for an <br />informal hearing niust be niade in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />The Division Director shall SChCdUle at Hine and place for the Informal hearing to be conducted. which shall be not rnore than <br />72 hours (CXG1USiVe of weekends) of receipt of the request fear hearing, At the in fori hearin the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incidern. The Division Director may exclude anyone, other than you and those presenting testimony, from the inforinal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice ol'Exelusion was delivered to the person named at the top of this Notice at the (Lite and time shown above by: <br />-Z. <br />ng,"defivering nohce) <br />I hereby acknowledge receipt offlic above Notice on the (late and time indicated above. <br />(Signature of person being issued the noticc) <br />While Copy hiblic Works, ( , ocx'n 4 opy File yellow Cop , Rqx)[L Copy NA Copy: Rccipkw 6old Cop) :01'6icer Appuaiiwix llu, OV0, <br />N arnci Last f, arse Middle <br />D011: <br />Race/Sev <br />C <br />Res, Addrc , ,s: City <br />lies. Phone: <br />Work Phone: <br />P_,A T <br />Under the authorityof Administrative Order No. 58-03-24-F and Park and Open Space Rule 1 -1.005(3),you are hereby <br />notified that you are prohibited from (check box): <br />Entering in or using all City of Eugene parks, open spaces or facilities. <br />The basis for this Notice of Restriction of Use is that on you violated Section !c i,,, of the Nirk <br />and Open Space Rules, and/or Secilor - ----- - 11 ------ - of the Eugene Code, 1971, and/or ORS TO wit, yow_ <br />(Description ofthe violation.) <br />This restriction of use is effective beginning on 1 and shall remain in effect until <br />If"you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be <br />CUTested and charged with criminal trespass in the second degree, <br />Pursuant to Park and Open Space Rule R-1,074 you are entitled to an infIbrinal hearing to contes€ , this Notice, A request for an <br />informal hearing niust be niade in writing and filed with the Parks & Open Space Division Director ("the Division Director") <br />within 48 hours (exclusive of weekends) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd, Eugene, OR <br />97402. <br />The Division Director shall SChCdUle at Hine and place for the Informal hearing to be conducted. which shall be not rnore than <br />72 hours (CXG1USiVe of weekends) of receipt of the request fear hearing, At the in fori hearin the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incidern. The Division Director may exclude anyone, other than you and those presenting testimony, from the inforinal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice ol'Exelusion was delivered to the person named at the top of this Notice at the (Lite and time shown above by: <br />-Z. <br />ng,"defivering nohce) <br />I hereby acknowledge receipt offlic above Notice on the (late and time indicated above. <br />(Signature of person being issued the noticc) <br />While Copy hiblic Works, ( , ocx'n 4 opy File yellow Cop , Rqx)[L Copy NA Copy: Rccipkw 6old Cop) :01'6icer Appuaiiwix llu, OV0, <br />